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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Karl R. Dettmann ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number.Street,City,State,Zip) Deed Restriction;CSM <br /> 4200 County Highway P,Cross Plains,WI 53528 Variance(# ) <br /> HOME PHONE CELL FHONE E-MAIL I ADDRESS <br /> (608)575-2692 karldettmann©gmail.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Aldo Partners,LLC ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1 P.O.Box 45601 <br /> (City.State,Zip) (City.State.Zip) 0 Setbacks <br /> 1 Madison,WI,53744 <br /> PHONE !PHONE ❑Site Plan approval from <br /> (608) 209-2183 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> andyfcaldopamters.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: El Elevation of property <br /> El P PARCEL <br /> ER 070-152-9670- 0 I AL-Ex 81.00 frontage drawn to scale. <br /> 0.7 <br /> TOWNSHIP: SECTION: <br /> Cross Plains 15 +A. NW 1/41/4: SE ❑Driveway permits <br /> I <br /> ADDRESS: (state.county,town) <br /> 4200 County Highway P <br /> CSM: !LOT 'SUBDIVISION ;BLOCK/LOT ❑Sanitary permits <br /> 13,885 4 (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Agricultural Accessory Building ❑ Zoning District <br /> . lgi This project is a new building or structure. ❑ Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: I PERMIT NUMBER: L Rural Address <br /> EWER rEPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 26.0 2.0 O Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ❑ ErosionControl permit <br /> BASEMENT: 1ST FLOOR: 7300 , TOTAL SQUARE FOOTAGE: ,, (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR: 0 3RD FLOOR: 0 7300 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ . .+ ♦ ♦ 315 000.00 and available options. <br /> (Please round to nearest dollar) <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? DYes ✓QNo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ✓QYes o ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Yes lo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes Elo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) QYes ONo QDon't know <br /> 7. Is this to correct a violation? ['Yes ENo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ —► —► <br /> 545-112 0/08) <br />